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1023392982
MARY GRADY
PORTLAND, OR
NPI
1023392982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-10-10
Last Update Date
2012-05-10
Business Address
-- MARY GRADY MSW
1312 SW WASHINGTON STREET
PORTLAND, OR 97208-3007
Phone number: 503-535-1150
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Mailing Address
-- MARY GRADY MSW
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number:
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